52.91.53.224
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/27/2015</StartDate>
  <EndDate>12/07/2015</EndDate>
  <DestinationPlan>Brazil</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Paul</Firstname>
    <Middlename/>
    <Lastname>Moreno</Lastname>
    <Age>46</Age>
    <Dob>04/08/1969</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/27/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2505 N St Louis</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Illinois</State>
      <City>Chicago</City>
      <Postcode>60641</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>ashadevi511@aol.com</Email>
    <Phone>
      <Home>2125058961</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4388576084187395</CreditcardNumber>
      <NameonCreditcard>Asha D Bhandari</NameonCreditcard>
      <CreditcardExpirationMonth>3</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>22.44</CreditcardAmount>
      <CreditcardCodeNumber>850</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
ee2da589
ARS-01-0024067
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0024067</PolicyNumber><UserName>ee2da589</UserName><Password>ee2da589</Password></PolicyDetails></RegistrationRes>